Gastrointestinal microbiome of ARDS patients induces neuroinflammation and cognitive impairment in mice

Abstract Background Acute respiratory distress syndrome (ARDS) is a respiratory failure syndrome that can cause many complications, impacting patients’ quality of life. Behavioral and cognitive disorders have attracted increasing attention in patients with ARDS, but its potential mechanisms are stil...

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Main Authors: Hong Zheng, Qihui Zhao, Jianuo Chen, Jiahui Lu, Yuping Li, Hongchang Gao
Format: Article
Language:English
Published: BMC 2023-07-01
Series:Journal of Neuroinflammation
Subjects:
Online Access:https://doi.org/10.1186/s12974-023-02825-7
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author Hong Zheng
Qihui Zhao
Jianuo Chen
Jiahui Lu
Yuping Li
Hongchang Gao
author_facet Hong Zheng
Qihui Zhao
Jianuo Chen
Jiahui Lu
Yuping Li
Hongchang Gao
author_sort Hong Zheng
collection DOAJ
description Abstract Background Acute respiratory distress syndrome (ARDS) is a respiratory failure syndrome that can cause many complications, impacting patients’ quality of life. Behavioral and cognitive disorders have attracted increasing attention in patients with ARDS, but its potential mechanisms are still elusive. Methods Herein we transferred the faecal microbiota from patients with ARDS caused by community-acquired pneumonia (CAP) to antibiotics-treated recipient male mice to explore the microbiota-gut-brain mechanisms. Behavioral functions of mice were evaluated by the open field test, Morris water maze and Y-maze test. The structure and composition of the gut microbiota were analyzed by using 16S rRNA sequencing analysis. Microglia, astrocyte and neuron in the cortex and hippocampus were examined via immunofluorescent staining. Results We found that the major characteristic of the intestinal flora in ARDS/CAP patients was higher abundances of Gram-negative bacteria than normal controls. The gut microbiota derived from ARDS/CAP patients promoted neuroinflammation and behavioral dysfunctions in mice. Mice who underwent fecal transplant from ARDS/CAP patients had increased systemic lipopolysaccharide (LPS), systemic inflammation, and increased colonic barrier permeability. This may adversely impact blood barrier permeability and facilitate microglia activation, astrocyte proliferation, and loss of neurons. Conclusions Our study proposes the role of the microbiota-gut-brain crosstalk on ARDS/CAP-associated behavioral impairments and suggests the gut microbiota as a potential target for the protection of brain health in ARDS patients in clinical practice.
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spelling doaj.art-455954cdf039446ba345d7b996d1793a2023-07-16T11:23:26ZengBMCJournal of Neuroinflammation1742-20942023-07-0120111410.1186/s12974-023-02825-7Gastrointestinal microbiome of ARDS patients induces neuroinflammation and cognitive impairment in miceHong Zheng0Qihui Zhao1Jianuo Chen2Jiahui Lu3Yuping Li4Hongchang Gao5Oujiang Laboratory, School of Pharmaceutical Sciences, Wenzhou Medical UniversityOujiang Laboratory, School of Pharmaceutical Sciences, Wenzhou Medical UniversityDepartment of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Wenzhou Medical UniversityOujiang Laboratory, School of Pharmaceutical Sciences, Wenzhou Medical UniversityDepartment of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Wenzhou Medical UniversityOujiang Laboratory, School of Pharmaceutical Sciences, Wenzhou Medical UniversityAbstract Background Acute respiratory distress syndrome (ARDS) is a respiratory failure syndrome that can cause many complications, impacting patients’ quality of life. Behavioral and cognitive disorders have attracted increasing attention in patients with ARDS, but its potential mechanisms are still elusive. Methods Herein we transferred the faecal microbiota from patients with ARDS caused by community-acquired pneumonia (CAP) to antibiotics-treated recipient male mice to explore the microbiota-gut-brain mechanisms. Behavioral functions of mice were evaluated by the open field test, Morris water maze and Y-maze test. The structure and composition of the gut microbiota were analyzed by using 16S rRNA sequencing analysis. Microglia, astrocyte and neuron in the cortex and hippocampus were examined via immunofluorescent staining. Results We found that the major characteristic of the intestinal flora in ARDS/CAP patients was higher abundances of Gram-negative bacteria than normal controls. The gut microbiota derived from ARDS/CAP patients promoted neuroinflammation and behavioral dysfunctions in mice. Mice who underwent fecal transplant from ARDS/CAP patients had increased systemic lipopolysaccharide (LPS), systemic inflammation, and increased colonic barrier permeability. This may adversely impact blood barrier permeability and facilitate microglia activation, astrocyte proliferation, and loss of neurons. Conclusions Our study proposes the role of the microbiota-gut-brain crosstalk on ARDS/CAP-associated behavioral impairments and suggests the gut microbiota as a potential target for the protection of brain health in ARDS patients in clinical practice.https://doi.org/10.1186/s12974-023-02825-7ARDSBehaviorGut-brain axisInflammationMicroglia
spellingShingle Hong Zheng
Qihui Zhao
Jianuo Chen
Jiahui Lu
Yuping Li
Hongchang Gao
Gastrointestinal microbiome of ARDS patients induces neuroinflammation and cognitive impairment in mice
Journal of Neuroinflammation
ARDS
Behavior
Gut-brain axis
Inflammation
Microglia
title Gastrointestinal microbiome of ARDS patients induces neuroinflammation and cognitive impairment in mice
title_full Gastrointestinal microbiome of ARDS patients induces neuroinflammation and cognitive impairment in mice
title_fullStr Gastrointestinal microbiome of ARDS patients induces neuroinflammation and cognitive impairment in mice
title_full_unstemmed Gastrointestinal microbiome of ARDS patients induces neuroinflammation and cognitive impairment in mice
title_short Gastrointestinal microbiome of ARDS patients induces neuroinflammation and cognitive impairment in mice
title_sort gastrointestinal microbiome of ards patients induces neuroinflammation and cognitive impairment in mice
topic ARDS
Behavior
Gut-brain axis
Inflammation
Microglia
url https://doi.org/10.1186/s12974-023-02825-7
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